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Development of takotsubo cardiomyopathy with severe pulmonary edema before a cesarean section.

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Development of takotsubo cardiomyopathy with severe pulmonary edema before a cesarean section.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Suzuki, Tsuyoshi Nemoto, Chiaki Ikegami, Yukihiro Yokokawa, Tetsuro Tsukada, Yasuhiko Abe, Yoshinobu Shimada, Jiro Takeishi, Yasuchika Tase, Choichiro
Description	Author Affiliation: Suzuki T ( Department of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine, Hikarigaoka-1, Fukushima, Fukushima, 960-1295, Japan, josho518@fmu.ac.jp.)
Abstract	Takotsubo cardiomyopathy is an acute syndrome involving apical ballooning and consequent dysfunction of the left ventricle. Most cases of left ventricular dysfunction resolve within 1 month. We present the case of a 40-year-old woman who developed severe heart failure caused by takotsubo cardiomyopathy with severe left ventricular dysfunction during the perinatal period. Because of the presence of multiple myomas, she was scheduled to undergo a cesarean section under general anesthesia. However, after induction of general anesthesia, she had to be awakened because of the presence of a difficult airway. Because she exhibited insufficient oxygenation, she was transferred to the emergency center. Upon hospital admission, she expectorated large amounts of pink sputum, indicating severe pulmonary edema. Cesarean section was performed immediately. Echocardiography revealed severe left ventricular dysfunction. Full recovery of cardiac function required almost 1 month, after which she was discharged from the hospital without further complications. This is the first reported case of takotsubo cardiomyopathy induced by a failed intubation during a scheduled cesarean section. Takotsubo cardiomyopathy usually shows a good prognosis, but if this myopathy develops during the perinatal period, it can worsen because of excessive preload following the termination of fetoplacental circulation.
File Format	HTM / HTML
ISSN	09138668
Issue Number	1
Volume Number	28
e-ISSN	14388359
Journal	Journal of Anesthesia
Language	English
Publisher	Springer
Publisher Date	2014-02-01
Publisher Place	Japan
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Anesthesiology Heart Failure Etiology Pulmonary Edema Takotsubo Cardiomyopathy Adult Anesthesia, General Methods Cesarean Section Echocardiography Female Physiopathology Humans Pregnancy Ventricular Dysfunction, Left Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Anesthesiology and Pain Medicine

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